Physical Activity and Cardiovascular Health

A National Consensus

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Developer / Lead Author Leon, Arthur
Publisher / Supplier Human Kinetics
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In 1995 leading exercise scientists and medical specialists convened in Bethesda, Maryland, under the sponsorship of the National Institutes of Health (NIH) to review the evidence of physical activity's influencing cardiovascular health. This reference presents the Consensus Statement from the 1995 Conference on Physical Activity and Cardiovascular Health and the supporting papers presented there.

The 28 papers document

  • public health problems of sedentary lifestyles,
  • current data and opinions on the contributions of different types and amounts of physical activity to reducing cardiovascular disease, and
  • the role that exercise has in rehabilitating people with cardiovascular disease.

This NIH conference report complements and augments the Surgeon General's Report on Physical Activity. Readers also will find successful approaches for implementing and maintaining physical activity programs for various populations, including older adults and people with disabilities.

Additional Information

Introduction: Charge to the Panel, John H. Ferguson • NIH Consensus Statement

Part I: An Overview of the Field
Physical Activity, Lifestyle, and Cardiovascular Health
William L. Haskell

Part II: Burden of Physical Inactivity to the Population's Health
What Is the Magnitude of Risk for Cardiovascular Disease Associated With Sedentary Living Habits?
Harold W. Kohl III

  • The Prevalence of Physical Inactivity in the United States
    Carl J. Caspersen and Matthew M. Zack
  • Population Attributable Risk of Physical Inactivity
    Kenneth E. Powell

Part III: Current Issues Related to the Nature of Physical Activity and Cardiovascular Disease
Physical Activity and Prevention of Cardiovascular Diseases: Potential Mechanisms
Claude Bouchard
  • Contributions of Regular Moderate-Intensity Physical Activity to Reduced Risk of Coronary Heart Disease
    Arthur S. Leon
  • Is Vigorous Physical Activity Necessary to Reduce the Risk of Cardiovascular Disease?
    I-Min Lee and Ralph S. Paffenbarger, Jr.
  • Physiological Responses to Structured Versus Lifestyle Activities
    Roy J. Shephard

Part IV: Physical Activity in the Prevention of Cardiovascular Disease and Other CVD Risk Factors
Physical Activity, Body Weight, and Body Fat Distribution
James O. Hill
  • Physical Activity and Lipid Metabolism
    Marcia L. Stefanick
  • Physical Activity, Insulin Resistance, and Diabetes
    Robert S. Schwartz
  • Physical Activity, Physical Fitness, and Blood Pressure
    James M. Hagberg
  • Physical Activity, Coagulability, and Fibrinolysis
    E. Randy Eichner
  • Effects of Physical Activity on Cardiovascular Disease Mortality Independent of Risk Factors
    Steven N. Blair
  • The Cardiac Risks of Vigorous Physical Activity
    Paul D. Thompson and Geoffrey E. Moore

Part V: Secondary Prevention of Cardiovascular Disease and Cardiac Rehabilitation
Cardiac Rehabilitation as Secondary Prevention: A Synopsis of the Clinical Practice Guideline for Cardiac Rehabilitation
L. Kent Smith
  • Update on Secondary Prevention of Cardiovascular Disease and Exercise-Based Cardiac Rehabilitation
    Barry A. Franklin
  • Behavioral and Psychosocial Issues of Cardiac Rehabilitation
    James A. Blumenthal, Elizabeth D. Gullette, Melissa Napolitano, and Renata Szczepanski
  • Does the Mode of Delivery of Cardiac Rehabilitation Influence Outcome?Nancy Houston Miller
  • Health-Related Quality of Life and Economic Evaluation of Cardiac Rehabilitation
    Neil B. Oldridge

Part VI: Successful Approaches to Adopting and Maintaining a Physically Active Lifestyle
Determinants of Physical Activity Behavior and Implications for Interventions
Bess H. Marcus and James F. Sallis
  • Physical Activity in Women
    Patricia M. Dubbert
  • Physical Activity in Children and Adolescents
    Russell R. Pate
  • Effectiveness of Physical Activity Intervention in Minority Populations Andrea M. Kriska
  • Physical Activity Interventions in Older Adults
    David M. Buchner
  • Physical Activity, Disability, and Cardiovascular Health
    James H. Rimmer and David Braddock
  • The Impact of Health-Care Providers on Physical Activity
    Kevin Patrick, Karen J. Calfas, Barbara Long, Jim Sallis, and Wilma Wooten
  • Community-Based Interventions for Increasing Physical Activity
    Deborah Rohm Young

Appendix A. Consensus Development Panel
Appendix B. Planning Committee

Index

Developer / Author(s)

Arthur S. Leon, MD, is the Henry L. Taylor professor and director of the Laboratory of Physiological Hygiene and Exercise Science in the Division of Kinesiology as well as adjunct professor and Chief Cardiologist in the Department of Medicine's Heart Disease Prevention Clinic at the University of Minnesota in Minneapolis.

Dr. Leon, who earned his MD in 1957 from the University of Wisconsin at Madison, has studied the effects of physical activity on cardiovascular health for more than 32 years. His research has contributed significantly to recent recommendations by the Centers for Disease Control and Prevention and the Surgeon General's Report on the health benefits of regular physical activity.

A Fellow of the American College of Sports Medicine, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Epidemiology and Preventive Cardiology Council, Dr. Leon also is a member of the editorial board for the Surgeon General's Report. He won the AAPHERD's William G. Anderson Award in 1981 and ACSM Citation Award in 1995.

Dr. Leon lives in Minnetonka, Minnesota, with his wife, Gloria. He enjoys jogging and exercise, gardening, and watching University of Minnesota basketball games.

Editor(s)

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